Acutely Ill Patient: Causes & Reasons

Possible Causes for Acutely Ill Patient

The optimal intensity of renal-replacement therapy in critically ill patients with acute kidney injury is controversial. [ncbi.nlm.nih.gov]

Best evidence topic reports The use of loop diuretics in acute renal failure in critically ill patients to reduce mortality, maintain renal function, or avoid the requirements [doi.org]

Introduction Acute kidney injury is a common complication of acute illness, affecting approximately 2 to 7% of hospitalized patients 1-4 and more than 35% of critically ill [doi.org]

Acute Renal Failure with Oliguria

All acutely ill patients in hospital should be closely monitored for signs of developing AKI. [patient.info]

Oliguria as predictive biomarker of acute kidney injury in critically ill patients. [ccforum.biomedcentral.com]

Epidemiology of acute kidney injury in critically ill patients: the multinational AKI–EPI study. [ncbi.nlm.nih.gov]

Acute Respiratory Acidosis

Identify chronic respiratory failure, usually in patients with COPD on “home” oxygen. Avoid describing acutely ill patients as having “no acute distress” (“NAD”). [acphospitalist.org]

The patient recovered from her acute illness and the neuromuscular weakness did not recur. [ahcmedia.com]

Acute Respiratory Distress Syndrome

Transfusion-related acute lung injury is common in critically ill patients. [doi.org]

Approximately 10% of all intensive care unit (ICU) admissions involve patients with acute respiratory failure; ~20% of these patients meet the criteria for ARDS. [accessmedicine.mhmedical.com]

The acute respiratory distress syndrome (ARDS) is a common cause of respiratory failure in critically ill patients and is defined by the acute onset of noncardiogenic pulmonary [ncbi.nlm.nih.gov]

Acute Cholecystitis

BACKGROUND: Besides cholecystectomy (CC), percutaneous cholecystostomy (PC) has been recommended for the management of critically ill patients with acute cholecystitis. [ncbi.nlm.nih.gov]

In critically ill patients, therapy of acute cholecystitis - which is often acalculous - remains an interdisciplinary and individual decision. [karger.com]

patients with acute cholecystitis could not be proven in this systematic review. [ncbi.nlm.nih.gov]

Juvenile Seronegative Polyarthritis

Still osteopathic methods, treatment of acutely ill hospital patients, somatic dysfunction, clinical research and trials, outcomes research, and biobehavioral interactions [books.google.com]

Addisonian Crisis

Random cortisol levels are difficult to interpret in the acute seriously ill patient, but some studies have looked at this laboratory value. [emdocs.net]

Corticosteroid insufficiency in acutely ill patients. N Engl J Med. 2003; 348(8):727-34. [ Links ] 14 Charmandari E, Nicolaides NC, Chrousos GP. Adrenal insufficiency. [scielo.br]

[…] approaches that of patients without acute adrenal crisis with similar severity of illness. [addisons-help.com]

Adrenal Hemorrhage

Eosinophilia in particular should arouse suspicion, because only 3% of acutely ill patients have eosinophilia. [mitchmedical.us]

On the other hand, most patients are acutely ill and have been already admitted to the hospital at the time of an adrenal hemorrhage. [simple-remedies.com]

As already observed, after spontaneous bilateral adrenal hemorrhage in acutely ill patients ( 23 ), endocrine studies of our subject demonstrate that, in a patient with a [academic.oup.com]

Acute Respiratory Infection

METHODS: We conducted active surveillance for severe acute respiratory infection (SARI; fever and at least one sign or symptom of acute respiratory illness) among hospitalized [ncbi.nlm.nih.gov]

[…] respiratory symptoms) and acute febrile illness (AFI; fever without respiratory or other localizing symptoms) patients from three referral hospitals in Ghana. [ncbi.nlm.nih.gov]

PMID: 24312651 * Unsuspected rickettsioses among patients with acute febrile illness, Sri Lanka, 2007. [globalhealth.duke.edu]

Abdominal Visceral Abscess

ill patient tends to lie “very” still because any movement causes excruciating pain.  They will lie with there knees bent to decrease strain on the tender peritoneum. 30 [slideshare.net]

The lungs are the most commonly affected organ, and most commonly patients present with an acute pulmonary illness, often dramatic and often clinically more pronounced than [radiopaedia.org]

Similarly, in acutely ill patients with coronary occlusion with severe pain, radiating to neck, shoulder and left arm, the EKG is very helpful. [research.ece.ncsu.edu]

Upper Respiratory Infection

However, during the acute RV illness, 8 of 10 patients had an LAR (P less than 0.0085 compared with baseline); the development of LARs was independent of changes in airway [ncbi.nlm.nih.gov]

Acute pharyngitis is one of the most common illnesses for which patients visit primary care physicians. [doi.org]

During the acute RV illness, there was a significant increase in airway reactivity to both histamine and ragweed antigen (P = 0.019 and 0.014, respectively). [ncbi.nlm.nih.gov]

Acute Tubular Necrosis

BACKGROUND: The renal histopathology of critically ill patients dying with acute kidney injury (AKI) in intensive care units of high income countries remains uncertain. [ncbi.nlm.nih.gov]

BACKGROUND: Acute kidney injury (AKI) secondary to acute tubular necrosis (ATN) is common in critically ill patients, and causes significant morbidity and mortality. [ncbi.nlm.nih.gov]

BACKGROUND: Acute tubular necrosis (ATN) occurs commonly in critically ill patients and is associated with increased morbidity and mortality. [ncbi.nlm.nih.gov]

Gastrointestinal Hemorrhage

[…] of UGIB in acutely ill patients admitted to critical care (using the oral form of the drug if possible). [patient.info]

Common Causes of Gastrointestinal (GI) Bleeding In acutely ill patients, stabilization with airway management, IV fluids, or transfusions is essential before and during diagnostic [msdmanuals.com]

Primary prophylaxis for acutely ill patients in critical care: [ 2 ] Acid-suppression therapy (H 2 -receptor antagonists or PPIs) should be offered for primary prevention [patient.info]

Acute Bronchitis

Pneumonia Patients with pneumonia often have a higher fever than patients with acute bronchitis, may appear more ill, and have rales on lung examination. [online.epocrates.com]

CONCLUSION: The vast majority of seniors with acute bronchitis are treated with antibiotics, regardless of patient characteristics or the type of evaluation received. [ncbi.nlm.nih.gov]

Antibiotics slightly increased the number of patients with adverse effects (NNH=37) Caveats: Acute bronchitis is defined as a cough-related illness lasting 1-3 weeks with [thennt.com]

Acute Alcohol Intoxication

Acute alcohol intoxication resulted in more repetitive ambulance transports than either seizure disorder or respiratory illness. [ncbi.nlm.nih.gov]

Acalculous cholecystitis is clinically identical to acute cholecystitis but is not associated with gallstones and usually occurs in critically ill patients. [aci.health.nsw.gov.au]

The symptoms are similar to those of acute cholecystitis with gallstones but may be difficult to identify because patients tend to be severely ill (eg, ICU setting) and may [msdmanuals.com]

Colonic Pseudo-Obstruction

Who’s at risk: Acutely critically ill patients (ex, Sepsis, Trauma, Metabolic derangements, Peritonitis, Kawasaki Disease ) [ Shukla, 2007 ] Chronically ill patients (ex, [pedemmorsels.com]

Acute CPO occurring in the postoperative period in surgical patients or as a response to an acute illness was excluded. [ncbi.nlm.nih.gov]

[…] of the colon in the absence of any mechanical obstruction in severely ill patients.[1] Acute colonic pseudo-obstruction is characterized by massive dilatation of the cecum [en.wikipedia.org]

Pericholecystic Abscess

[…] with acute cholecystitis 6 Patients falling into this category are elderly, critically ill and / or with severe comorbidities. [imagingpathways.health.wa.gov.au]

Acute acalculous cholecystitis in critically ill patients: risk factors, diagnosis and treatment strategies. [rarediseases.org]

Acute acalculous cholecystitis (AAC) 5 – 15% of acute cholecystitis • Critically ill patients Major surgery Severe trauma Sepsis Total parenteral nutrition Diabetes Atherosclerotic [slideshare.net]

Acute Gastroenteritis

In caring for patients with acute gastroenteritis, the physician's primary task is to assess the severity of illness and to tailor fluid and electrolyte replacement and symptomatic [ohsu.pure.elsevier.com]

Maintenance intravenous fluids in acutely ill patients. N Engl J Med (2015) 373(14):1350–60. doi:10.1056/NEJMra1412877 CrossRef Full Text | Google Scholar 12. [frontiersin.org]

The first patient, a 7.5-y-old girl, developed mesenteric lymphadenitis, hepatosplenic granulomas and osteolytic bone lesions only late in the course of her protracted illness [ncbi.nlm.nih.gov]

Enterovirus Infection

Patients admitted to the hospital with acute febrile illnesses were screened for enteroviral infections. [ncbi.nlm.nih.gov]

GP can present acutely after a viral-like gastrointestinal illness resulting in speculation that in some patients, neurologic damage caused by the infection might underlie [ncbi.nlm.nih.gov]

We describe a rare Saudi patient of acute necrotizing encephalopathy attributable to enterovirus in a 4 years and 6 months old girl. [ncbi.nlm.nih.gov]

Purpura Fulminans

The acutely ill patient with fever and rash. [amjmed.com]

In addition, it describes the manifestations in acutely ill patients in the ICU, as well as severe cutaneous manifestations occurring during pregnancy, after sun exposure, [books.google.it]

Acute illness presents as a septic-appearing patient with high fever and rapid deterioration, leading to hypotension and end-organ dysfunction. [visualdx.com]

Septicemia

[…] critically ill patients. [doi.org]

An evaluation of systemic inflammatory response syndrome signs in the Sepsis Occurrence In Acutely Ill Patients (SOAP) study. Intensive Care Med. 2006;32:421–7. [doi.org]

Takala A, Jousela I, Olkkola KT, et al (1999) Systemic inflammatory response syndrome without systemic inflammation in acutely ill patients admitted to hospital in a medical [dx.doi.org]

Acute Peritonitis

An acutely ill patient usually tries to lie very still, because any amount of movement causes excruciating pain. [encyclopedia.com]

Tend to present later in the course of their illness. [ 11 ] Morbidity and mortality in older patients presenting with acute abdominal pain are high. [ 11 ] You should have [patient.info]

Older patients Tend to show less specific symptoms and signs. [patient.info]

Viral Lower Respiratory Infection

When to Seek Medical Care for Upper Respiratory Infection Most patients with acute upper respiratory infections will have a self-limited illness with symptoms resolving in [emedicinehealth.com]

Conclusion: Patients presenting to GPs with acute adult LRTI predominantly have a viral illness which is most commonly caused by rhinoviruses and influenza viruses. [thorax.bmj.com]

[…] bronchitis. 22 Results of a Cochrane review do not support the routine use of beta-agonist inhalers in patients with acute bronchitis; however, the subset of patients with [aafp.org]

Septic Shock

Results of the Sepsis Occurrence in Acutely Ill Patients (SOAP) Study. Crit Care Med. 2006 ;34(3): 589 – 597. Google Scholar | Crossref | Medline | ISI 5. [doi.org]

  Multiple organ dysfunction syndrome (MODS) - Altered function of more than one organ system in an acutely ill patient requiring medical intervention to maintain homeostasis [slideshare.net]

Takala A, Jousela I, Olkkola KT, et al (1999) Systemic inflammatory response syndrome without systemic inflammation in acutely ill patients admitted to hospital in a medical [doi.org]

Acute Sinusitis

Twenty-seven patients (31%) underwent sinus surgery during the acute phase of their illness whereas 59 patients (69%) were treated medically. [ncbi.nlm.nih.gov]

Management Patients with acute viral rhinosinusitis should be treated with supportive therapies. [racgp.org.au]

ARS is an acute inflammatory condition that typically evolves following a viral upper respiratory tract infection; the patient reports an increase in the symptoms following [entsho.com]

California Encephalitis

No virus has yet been isolated from the blood of an acutely ill patient. Virus has been recovered from brain tissue of a fatal case, but most patients survive. [notesread.com]

acute illness. [mayocliniclabs.com]

A few patients (estimated 2%) have persistent paresis. [mayocliniclabs.com]

Gram-Negative Pneumonia

Abstract Colonization of the oropharynx by Pseudomonas aeruginosa and enteric gram-negative bacilli in acutely ill or debilitated patients, alcoholics, diabetics, and persons [ncbi.nlm.nih.gov]

Corticosteroid insufficiency in acutely ill patients. N Engl J Med. 2003 Feb 20. 348(8):727-34. [Medline]. [medscape.com]

Upper Gastrointestinal Bleeding

[…] of UGIB in acutely ill patients admitted to critical care (using the oral form of the drug if possible). [patient.co.uk]

PATIENTS: Critically ill patients (n = 131), all of whom had at least one acute stress condition that previously had been associated with the development of upper GI hemorrhage [dukespace.lib.duke.edu]

Primary prophylaxis for acutely ill patients in critical care: [ 2 ] Acid-suppression therapy (H 2 -receptor antagonists or PPIs) should be offered for primary prevention [patient.co.uk]

Gram-Negative Septicaemia

The corresponding figure was 40% in the pan-European Sepsis Occurrence in Acutely Ill Patients (SOAP) study [11]. [ccforum.biomedcentral.com]

A meta-analysis failed to show benefit in mortality reduction, prevention of acute renal failure, or the need for dialysis in critically ill patients. 28 ANTIBIOTIC THERAPY [aafp.org]

Corticosteroid insufficiency in acutely ill patients. N Engl J Med. 2003 Feb 20. 348(8):727-34. [Medline]. [medscape.com]

Tick-Borne Rickettsiosis

Here we report the amplification of DNA of R. heilongjiangensis from both the skin biopsy of an acutely ill patient and the tick removed from him prior to the disease development [ncbi.nlm.nih.gov]

Serum Samples and Serologic Testing The serum specimens analyzed in this study were obtained from South Korean patients with acute febrile illness from 1993 to 1999. [doi.org]

[…] later is diagnostic of an acute infection if the titers have increased at least four-fold. [aappublications.org]